| NPI | 1891059861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCY NICOLE BRYANT Executive Director 919-218-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 45560378) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |